Let's Get Physical
Cramping of the uterus from the release of oxytocin
Afterpains
During this stage the mother is centered on her own care.
Taking In Phase
Type of shock occurs when blood volume is depleted
Hypovolemic
Red swollen area/mass, fever, burning sensation while breastfeeding, wedge shaped red pattern
Signs and symptoms of mastitis
RH - Mom needs this during her pregnancy and postpartum if her baby is RH +
Rhogam
Supportive bra, ice packs for 20 minutes, avoid stimulation, analgesics
Engorgement management for non breastfeeding mothers
70% of mothers experience this after delivering a baby
Postpartum Blues
Pain and pressure in vaginal area, bruising and bulging, inability to urinate
Signs of hematoma
Fever, Uterine Tenderness, Foul Smelling Lochia, Chills, Increased WBCs
Endometritis
Signs and Symptoms
Calf tenderness, Leg pain, Swelling, Redness, Heat
Thrombophlebitis / Thrombosis
The nurse finds a boggy uterus, she should assess this ________ next?
Fullness of bladder
Skin to skin, eye contact, rooming in with parents
Things to promote bonding
Tone, tissue, trauma, thrombosis
Causes of postpartum hemorrhage
What is REEDA
Redness, edema, ecchymosis, drainage, approximation
Can you name 3 Methods of Contraception?
Condoms, Diaphragm, Oral Contraceptives, IUD, Nexplanon, Depo, Tubal Ligation, Vasectomy, Contraceptive Ring
Around the umbilicus, maybe 1 cm above to 1-2 cm below
Fundus location after delivery
Reassurance, Support, Medications, Monitoring, Potentially a Psych Consult or Social Work Consult
Postpartum Mood Disorders Management
Macrosomia, Multi-Fetal Gestation, Mag Sulfate, Pitocin Use, Chorioamnionitis, Prolonged Labor
Risk factors for postpartum hemorrhage
Pain, Foul Smelling Drainage, Low Grade Fever/High Fever, Chills, Abdominal Tenderness, Edema, Erythema, Warmth at the Incision
Wound Infection
Perineal Care
Peri bottle, witch hazel pads, sitz baths, ice packs
Less than 6 inches of lochia on the pad
Moderate lochia
Abrupt onset and signs and symptoms manifest by 2 weeks, should not be left alone with baby.
Postpartum psychosis
Can you name 2 Medications used for postpartum hemorrhage
Pitocin, Hemabate, Cytotec/Misoprostol, Methergine, Dinoprostone, TXA
Can be Asymptomatic, OR Dysuria, Frequency, Flank pain, Hematuria (cath sample), Fever
UTIs
Decreased fluid volume, decreased tissue perfusion, anxiety and fear
Nursing diagnosis related to postpartum hemorrhage